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Service Contract Provider Registration and Renewal Form

Service Contract Provider Registration and Renewal Form 2025

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The document is a Service Contract Provider Registration and Certification form issued by the Vermont Department of Financial Regulation. It requires detailed information about the registrant, including business name, contact details, organization type, and compliance with state regulations. The form also includes a certification section where the undersigned affirms the accuracy of the information provided and compliance with relevant Vermont statutes.

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